Individual provider Active NPI

Matthew Laumbach, MPAS PA-C

  • Physician Assistant
  • Portales, NM
National Provider Identifier
1457781759
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2013-0063 Issued in NM
Practice address
42121 US Highway 70
Portales, NM 88130-9054
Phone
(575) 356-6652
Fax
(575) 359-6827
NPI assigned
Nov 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2013-0063 NM Primary

Addresses

Primary practice location

42121 US Highway 70
Portales, NM 88130-9054

Mailing address

PO Box 299
Portales, NM 88130-0299
Phone (575) 356-6652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140106001359 NM Practitioner - Physician Assistant 6901034552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roosevelt County Special Hospital DistrictGroup PAC ID 4082526660, 39 clinicians

Practice addresses (Care Compare)

42121 US Hwy 70
Portales, NM 88130-9054
Phone (575) 356-6652

Hospital & facility affiliations

  • Excelacare Home Health Home health agency, Clovis, NM, CCN 327191
  • Excelacare Home Health Home health agency, Las Cruces, NM, CCN 327190
  • Roosevelt General Hospital Hospital, Portales, NM, CCN 320084
  • Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2013-0063NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2014 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 1, 2014 Accepting new patients
Roosevelt County Special Hospital District CurrentSince Mar 27, 2023 Accepting new patients
Roosevelt County Special Hospital District Past Accepting new patients

Locations

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1648 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 585-0085

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

1202 Highway 60
Socorro, NM 87801
Phone (505) 835-1140

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

Interoperability endpoints

  • Direct secure messaging: matthewlaumbach@rghnm.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1457781759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881300299",
            "telephone_number": "575-356-6652",
            "fax_number": "575-359-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42121 US HIGHWAY 70",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309054",
            "telephone_number": "575-356-6652",
            "fax_number": "575-359-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUMBACH",
        "first_name": "MATTHEW",
        "credential": "MPAS PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

Verify at the official NPI Registry.